彩色多普勒超声对肝切除后门静脉血液动力学的研究  

Color Doppler Sonography for Studying the Portal Hemodynamic Consequent to Partial Hepatectomy

作　　者：周岩冰[1] 杨金镛[1] 崔自介[1] 王志斌[2] 田玉聚 

机构地区：[1]青岛医学院附属医院普外科,青岛市266003 [2]青岛医学院附属医院干部保健科,青岛市266003

出　　处：《中华超声影像学杂志》1993年第4期157-159,共3页Chinese Journal of Ultrasonography

摘　　要：作者使用彩色多普勒超声对48例肝切除患者手术前后门静脉血液动力学改变进行研究。巨大肝切除后门静咏血流量由974.625±162.31ml/min降为659.30±147.52ml/min(P<0.01),较大及较小肝切除后门静脉血流量分别由924.83±157.21ml/min、872.36±167.29ml/min升为1182.32±197.36ml/min(P<0.01)、982.41士134.57ml/min(P<0.05),6例合并肝硬变的原发性肝癌手术后胃冠状静脉血流量明显增加。结果表明:肝切除后门静脉血液动力学改变和肝切除范围有关,合并肝硬变患者肝切除可使门静脉压力升高。Hemodynamic changes in portal blood flow were studied in 48 patients who underwent partial hepatectomy with Color Doppler sonography before and after surgery. The portal blood flow of patients who underwent massive hepatectomy was decreased from 974.62±162.31ml/min to 659.30±147.52ml/min (P<0.01). The portal blood flow of patients who underwent major and minor hepatectomy was increased from 924.83±57.21ml/min and 872.36±167.29ml/min to 1182.32±197.36ml/rain (P<0.01) and 982.41±134.57ml/min (P<0.05) respectively. The gastric coronary blood flow was increased singificantly in 6 cases with primary liver carcinoma. The results showed that hemodynamic changes of portal blood flow was related to the extent of the hepatectomy, while the portal pressure was increased after hepatectomy in patients with cirrhosis.

关 键 词：门静脉 血液动力学 肝切除 超声波 

分 类 号：R312[医药卫生—基础医学]